NG Tube: Insertion, Care, Use, Removal

The nurse is preparing to insert a small-bore feeding tube and should choose a _______ French tube for insertion.

10

The nasogastric tube has been successfully inserted and temporarily secured in place. A chest x-ray has confirmed the correct placement in the stomach. The nurse checks the pH to ensure ongoing placement of the tube. The pH of the stomach contents should be less than ______.

5.0

When removing the nasogastric tube, the nurse should document the following. Select all that apply.

Amount and character of drainage Client tolerance of removal Size of tube removed

Which are contraindications for the insertion of a nasogastric tube? Select all that apply.

Basilar skull fracture Facial trauma Deviated nasal septum

A nurse is caring for a client who needs a nasogastric tube inserted. Which assessment finding would prohibit insertion of the tube?​

Basilar skull fracture​

Nasogastric tube insertion _____ be delegated to unlicensed assistive personnel (UAP). Ongoing assessment and maintenance of a nasogastric tube must be completed by ________. ​​

Cannot; a registered nurse

A few days later, the nurse receives an order to remove the nasogastric tube. The nurse can delegate this task to which of the following personnel? Select all that apply.

Licensed Practical Nurse Unlicensed Assistive Personnel Registered Nurse

A nasogastric tube is passed through the ________ into the _______.

Nose; stomach

The nurse has successfully inserted the nasogastric tube. What is the best way to confirm the proper placement of the tube?

Obtain a radiographic image (x-ray).

The nurse is caring for a client who will require long-term enteral nutrition. The nurse should anticipate education will need to be prepared for the client for which type of tube?

Percutaneous endoscopic gastrostomy tube

Which are relevant when choosing equipment to insert a nasogastric tube for enteral feeding? Select all that apply.

Small-bore feeding tubes are the most comfortable for adults. The flexibility of the tube may require a single-use stylet to insert. Adults need a tube that is 36 to 44

Using the xyphoid to the earlobe to the nose (XEN) +10 method to determine the appropriate length of the nasogastric (NG) tube to insert ensures the NG tube reaches the _______

Stomach

The client requires medications to be given via the nasogastric tube. Place the steps in the correct order for this procedure.

Stop the feeding or suction device and flush the tube with 30 mL of water. Crush the tablets or open capsules and dissolve each medication in water. Administer medications one at a time, flushing the tube with at least 15 mL-30 mL of water after each medication. Flush the tube with 30 mL-60 mL of water one final time after administering the last medication.

While inserting a nasogastric tube, the client begins to cough and oxygen saturation decreases. Which action taken by the nurse is most appropriate? ​

Stop the insertion and withdraw the tube into the posterior nasopharynx. ​

The nurse begins to insert the nasogastric tube. The client's pulse oximetry decreases and the client begins to cough. The nurse should first ________.

Stop the procedure

Which actions should the nurse take prior to insertion? Select all that apply.

Verify the healthcare provider order. Prepare to monitor pulse oximetry or capnography. Assess for the presence of a gag reflex.